Screening and addressing social needs of children and families enrolled in a pediatric weight management program: a

Gita Wahi1,2, Stacey Marjerrison3,4,5, Carline Gutierrez6,7

  • 1Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada. wahig@mcmaster.ca.

Insights

This pilot study tested a new intervention for children with chronic conditions, focusing on social needs. The intervention showed promise for feasibility in a pediatric weight management clinic.

Area of Science:

  • Pediatric Health
  • Social Determinants of Health
  • Clinical Trials

Background:

  • Limited evidence exists for interventions addressing social needs in children with chronic medical conditions.
  • Social needs significantly impact health outcomes and treatment adherence.
  • Pediatric weight management programs often encounter families with unmet social needs.

Purpose of the Study:

  • To assess the feasibility of an intervention designed to screen for and address social needs in children and families within a pediatric weight management clinic.
  • To evaluate recruitment, intervention uptake, and participant follow-up rates as primary feasibility outcomes.
  • To explore preliminary effects of the intervention on body mass index, body composition, and quality of life.

Main Methods:

  • A single-center, pilot randomized controlled trial (RCT) involving 40 families with children in a pediatric weight management program.
  • Randomization of families with unmet social needs to either a community navigator or self-navigation of resources.
  • Feasibility outcomes assessed by recruitment rates, intervention uptake, and follow-up completion; secondary outcomes measured at 6 months.

Main Results:

  • The study aims to determine if recruitment rates reach 80%, intervention uptake exceeds 80%, and follow-up completion surpasses 90%.
  • Preliminary effects on body mass index, body composition, and quality of life will be estimated.
  • Descriptive statistics will be used for feasibility outcomes; exploratory analyses for secondary outcomes.

Conclusions:

  • This pilot RCT is crucial for improving pediatric obesity treatment by evaluating an intervention for social needs.
  • Successful feasibility will support larger trials investigating the impact of addressing social determinants on pediatric health.
  • The findings will inform the development of integrated care models for children with chronic conditions.
Abstract

Related Concept Videos

Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.1K
Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
609
Binge Eating Disorders01:23

Binge Eating Disorders

Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
168
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
94